MALIGNANT NEOPLASMS THAT MIMIC ASYMPTOMATIC APICAL PERIODONTITIS: A CASES SERIES.

Autor: SOARES, Alini Cardoso, MACEDO, Natália Gonçalves, TARQUINIO, Sandra Beatriz Chaves, ETGES, Adriana, GOMES, Ana Paula Neutzling, VASCONCELOS, Ana Carolina Uchoa
Zdroj: Oral Surgery, Oral Medicine, Oral Pathology & Oral Radiology; Jun2024, Vol. 137 Issue 6, pe288-e288, 1p
Abstrakt: Report the clinicopathologic, sociodemographic, and radiological features of malignant neoplasms with a clinical diagnosis of chronic inflammatory periapical disease. The clinical and radiologic data of Brazilian cases of malignant neoplasms with a clinical diagnosis of asymptomatic apical periodontitis (AAP) were collected, retrospectively. Data were analyzed descriptively. The series comprised five females (50.00%) and five males (50.00%) with a mean age of 49.5±16.5 years (range: 26-75 years). In five cases (50%), the posterior region of the maxilla was involved. The internal appearance was radiolucent density (100%). All cases (100%) showed well-defined borders. Five different histopathologic diagnoses were performed, including metastasis (n=3/30%), squamous cell carcinoma (n=3/30%), mucoepidermoid carcinoma (n=2/20%), acinar cell carcinoma (n=1/10%) and cystic adenoid carcinoma (n=1/10%). Survival status was retrieved for one patient (100%), all of them alive. Malignant neoplasms that mimic AAP are rare disorders. Because these lesions usually do not show clinical or radiological features of malignant alteration, every tissue removed by routine enucleation or curettage of periapical lesions should be submitted for histopathological evaluation. [ABSTRACT FROM AUTHOR]
Databáze: Supplemental Index